- There are significant variations between quality improvement and quality assurance strategies.
- There is a real difference between quality improvement ‘strategies’ and quality of care improvement ‘interventions’, which is an important distinction when supporting the design of systems focused interventions.
- There are a number of frameworks that can help to frame thinking around the development, monitoring and evaluation of QI strategies, and the interventions used to deliver them.
- Despite the value of the frameworks, QI strategies often cut across different classifications or are multi-faceted.
- Although growing there is limited evidence on the effectiveness of QI interventions.
- Safety and acceptability are critical aspects of QI strategies and of equal importance to effectiveness; however, there is less focus on integrating these aspects into the design and implementation of programmes and a paucity of information and evidence.
Quality improvement initiatives are believed to have the best chance of success if:
- There are shared goals amongst planners and implementers of quality improvement efforts.
- Reliable data is available.
- A culture of accountability can be fostered, without excessive individual blame.
- There is some concordance of the intervention with existing practices.
- The intensity of activities is optimised.
- Top level management and institutional support is available.
Key messages for Section C was last modified: June 18th, 2015 by
- Bradley EH, Yuan CT , (2012) Quality of care in low- and middle-income settings: what next?
- Shojania KG, McDonald KM, Wachter RM, et al., editors, (2004) Evidence-based Review Methodology for the Closing the Quality Gap Series